Healthcare Provider Details
I. General information
NPI: 1497339709
Provider Name (Legal Business Name): FRANKLIN IMAGING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2021
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 FRANKLIN HEALTH COMMONS
FARMINGTON ME
04938
US
IV. Provider business mailing address
PO BOX 16049
LEWISTON ME
04243-9532
US
V. Phone/Fax
- Phone: 207-778-6031
- Fax:
- Phone: 207-778-6031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GEORGE
HUNTER
Title or Position: PRESIDENT, OWNER
Credential: MD
Phone: 207-778-6031